Individual
HENRY LAURIS PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
32013
IA
2084N0400X
Neurology Physician
Primary
4301091125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161075
—
IA
01
—
40644
WELLMARK BCBS
IA
Enumeration date
08/24/2005
Last updated
05/01/2019
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